Inspection on 06/07/06 for Westy Hall

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Westy Hall 11/10/05

Westy Hall 09/07/05

Westy Hall 13/12/04

Westy Hall 29/06/04

Westy Hall 25/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Westy Hall Marsden Avenue Latchford Warrington Cheshire WA5 1UB Lead Inspector David Jones Key Unannounced Inspection 10:10 6 and 14th July 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westy Hall Address Marsden Avenue Latchford Warrington Cheshire WA5 1UB 01925 637948 01925 651420 Janice.Johnson@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Janice Helen Johnson Care Home 39 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (29) Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 39 service users to include: * Up to 29 service users in the category of OP (old age not falling within any other category). * Up to 10 service users in the category DE(E) (dementia over the age of 65) may be accommodated. * Up to 2 service users in the category DE (dementia over the age of 55) may be accommodated. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Service users with dementia shall only be accommodated within the designated dementia care section of the establishment. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection. 11th October 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Westy Hall is a care home, which is located in Latchford, a residential area of Warrington. It is close to bus routes, local shops and other public amenities. It is registered with the Commission for Social Care Inspection to offer personal care for up to 39 older people. The home is divided into two parts. One part of the home provides personal care for up to 29 older people whose needs are associated with old age and the other section of the home provides for ten older people with a diagnosed dementia. Two of the residents accommodated on the dementia unit may be 55 years of age or older. It is owned and managed by CLS Care Services Group. The premises are a purpose built twostorey property with access to the second floor provided by one passenger shaft lift and three stairways. Accommodation includes 39 single bedrooms, all having hot/cold water washbasins and door locks fitted. Communal facilities include five separate lounge areas, two dining rooms, one smoking room and one quiet room. There are four bathrooms, one shower room and 12 WC’s. There are also kitchen and laundry facilities on the ground floor, and the home has its own hairdressing salon. The home is set within its own grounds and residents have access to internal gardens. Information about Westy Hall including copies of the most recent inspection report is made available to each resident and can be acquired by contacting the home on the telephone number given above. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 5 Information provided by the registered manager on the 2006 confirms that fees range from £410 to £455 per week for accommodation, board and care, depending assessment of need. There are no additional charges other than hairdresser, toiletries, newspapers and other sundry items charged at cost. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Westy hall included a site visit to the home, which was unannounced and completed on two days over an 8 hour and 40 minute period. It takes into consideration the developments in the home since the last inspection. It is focused on the experiences of residents and the people who support them. The views of residents, their representatives including family members and health and social care professionals were gathered by survey questionnaires before the site visit. Time was spent sitting and taking with people who use the service and observing the day-to-day routines of the home and care staff as they provided support. The manager and some staff were spoken with about developments in the home and how they were being supported to provide good standards of care. The inspector looked around the building to assess its suitability to provide a comfortable, homely environment for the enjoyment of everyone and ensure his or her safety. Six residents, and three visitors were spoken with during the site visit and two residents, two health and social care professionals and three relatives returned survey questionnaires. What the service does well: Westy Hall provides good standards of personal care and accommodation. Residents speak highly of the standard of care facilities and services provided at Westy Hall. Some describe the home and the staff as excellent and they are very appreciative of the good standards of care received. Individual needs and personal preferences are recognised and addressed. The location and layout of the home is suitable for its stated purpose. It is accessible, safe, comfortable and well maintained. It is clear that maintaining independence and helping residents to make their own decisions about how they wish to live is a key objective of the home. Residents are helped to meet the challenges of every day life and are assisted to take an element of managed risk in the interest of a fulfilling life style. The routines of the home are planned around residents’ needs and wishes. A person centred approach to care and support is fostered. Resident’s rights are respected and there are no rules, that residents do not agree with. The atmosphere in the home is welcoming and sociable. There is a range of activities on offer and the standard of catering is good. Extra effort is being made to ensure residents enjoy meal times. Residents are able to entertain their guests in the privacy of their rooms and may offer them beverages and a meal if they choose. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 7 There is an effective and efficient staff team. They are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. The management and administration of the home is based on openness and respect. The manager is highly regarded by the staff team who appreciate her leadership qualities guidance and support. What has improved since the last inspection? What they could do better: There have been a number of incidences of maladministration of medication and some additional errors were found on the site visit. Action must be taken to ensure that medicines are recorded and administered appropriately to ensure the safety and well being of residents. Care must be taken to make sure that residents who miss or refuse a bath one day are offered a bath again the following day unless medical circumstance dictate otherwise. Some care plans would benefit from further development. Care should be taken to make sure that care plans address all needs presented by the resident Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 8 so all staff know what to do and residents and their representatives are clear as to how needs are to be met. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4. Standards 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. New residents and their representatives have the information they need to make an informed choice about the home. EVIDENCE: All new residents are provided with a detailed information pack that includes the statement of purpose, service users guide and terms and conditions. They are offered opportunity to visit and test-drive the home and are able to discuss its suitability with senior staff before they make any decisions about moving in. Each new resident has an appointed key worker whose job it is to pay particularly close attention to the individual’s needs and wishes whilst also acting as a support and friend to help them settle in. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 11 Case records relating to recently admitted residents contain appropriate preadmission and assessment documentation including contracts or terms and conditions documents as appropriate. One visiting relative praised the staff at Westy Hall complimenting them on their assessment skills, efficiency and effectiveness. They said they know their relative is in safe hands. One of the residents said they got a lot of information about the home when they moved in and it was very colourful too. They were knowledgeable about CLS and the background of the company and said she read the literature before they came. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Arrangements for health and personal care are based on residents’ individual needs and the principles of respect; dignity and privacy are put into practice. EVIDENCE: Four care plans were read as part of a case tracking exercise. The service has a strong belief that it is essential to involve residents in the planning of care that affects their lifestyle and quality of life and this is reflected in residents’ care plans. Each resident has a plan that has been agreed with him or her or their representatives. These are written in plain language, are easy to understand and generally consider all areas of the individual’s life including health, and personal social care needs. Care staff are in the process of re-writing care plans to reflect the person centred approach adopted and promoted by CLS. Care plans are being written in the first person. These present the resident in a positive light, are more dignified and reflect the individuals characters and personalities better. Two of the four care plans seen would benefit from further development. One identified that a resident suffered Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 13 with diverticulitis but did not specify their dietary or health care needs in this regard. The other care plan related to a resident who required close supervision due to their behaviour that exposed them to certain hazards. The natures of the hazards were well documented and there is clear evidence of the home working with family members and health and social care professionals to address the matter. However the care plan did not confirm arrangements for supervision and protection in the interim. See recommendation 1. Information provided by visiting health and social care professionals and relatives indicates that staff demonstrate a clear understanding of residents needs, communicate clearly and work in partnership with the multidisciplinary team to ensure that residents health care needs are met. This is reflected in case records that confirm ongoing liaison with residents’ representatives including health and social care professionals and relatives. A visiting relative said their mother “moved into Westy Hall two and a half years ago and has been happy in the home ever since. The staff are caring and skilled and there is enough of them to meet her needs. She is very settled here. The care is excellent. They keep me informed and I know she is in safe hands”. Bathing records indicated that a number of residents had not been offered a bath at least once a week. Care staff confirmed that there have been problems when the key worker is on holiday and no one else is asked to cover bathing duties for the absent key worker. Discussion with the manager indicates that arrangements need to be made to ensure that the Care Team Leader is aware of those residents who have not been offered a bath in accordance with their needs so appropriate arrangements can be made to address this problem. See recommendation 2. There have been two incidences since the last inspection where staff have administered medication inappropriately. In each case appropriate action was taken to ensure the well being of the residents and prevent a recurrence by retraining staff. An inspection of medication systems found that appropriate arrangements are in place for the administration and safe storage of medicines with the exception that stock records of medicines brought into the home are not maintained in the appropriate detail and some medication errors had been made in the administration records. See requirement 1. Discussion with residents, visiting relatives, reading of case records and observation of staff confirms that residents’ individual needs, characters and personal preferences and known and understood and catered for. Residents are treated as individuals and the principles of dignity and respect are upheld and promoted. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The lifestyle in the home reflects the expectations and personal preferences of residents and choice is promoted. Visitors are made welcome, the standard of catering is good and residents have access to a range of appropriate activities. EVIDENCE: A group of three residents said, “the home is very nice, they are very satisfied, food is very good and served hot. There are plenty of activities on offer and we can’t grumble about the staff, they are trained and have passed their exams. They definitely respect your privacy and dignity. Only had a problem with other residents bursting in your room, the staff always knock they are very good.” Other residents expressed similar views but one resident was not happy with the range of activities on offer. They said they the home does not suit them because it is to far away from anything, pubs, proper shops and there is very little going on in the local area that is of interest to them. They said that they wanted to move to another CLS home that is close to a village they know where there is a lot going on. They were discussing this with their family members. This resident liked to go out and did not feel they needed any supervision. Staff had identified certain potential hazards to this individual’s safety but these were risk assessed and balanced against the residents’ needs, Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 15 wishes and quality of life issues. Staff encouraged this resident to take certain safety precautions and supported him to go out unsupervised when he chose to. The risk assessment is kept under review. Two residents said that they would like to see more fresh fruit. There families provided this but they thought that it should be available in the home. The cook confirmed that a bowl of fruit is taken round and offered after the meal. Consideration should be given to improving residents’ access to fruit with more being offered and placed out in bowls in lounges for residents to help themselves. The manager is working closely with the cooks to improve meals and the overall mealtime experience. Residents are more involved with the preparations for meal times they set the tables and help out. Starters have been introduced and there is a greater emphasis on quality and residents views. Residents are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them to have a drink or a meal with the resident. Residents can choose to entertain visitors in their own rooms or the lounge or patio areas. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Arrangements for the protection of residents and for making complaints were effective. EVIDENCE: The home’s complaints procedure provides appropriate guidance and information as to how to make a complaint. Information provided indicated that six complaints had been received in the last 12 months. A record is maintained in the home of all complaints received. These provide appropriate details of investigations and feedback to the complainant. Five of the six complaints were substantiated and one was partially substantiated. Robust procedures for responding to suspicion or evidence of abuse or neglect are in place including whistle blowing as in accordance with the Public Interest Disclosure Act 1998. There have been six adult protection referrals since the date of the last inspection. All were handled effectively and were reported in accordance with the home’s policies procedures and the requirements of the regulations with the exception of one where there was a delay in reporting. However, with the benefit of hindsight the registered manager acknowledged what should have been done and has since taken appropriate action to prevent any further delays. Discussion with staff and reading of staff training records indicates that a number of staff have not received training in adult protection. The manager advised that she is aware of this and confirmed that appropriate arrangements are being made to address staff training needs. See recommendation 3. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Residents live in wellmaintained, comfortable, clean and hygienic accommodation with access to appropriate indoor and outdoor communal facilities. EVIDENCE: Westy Hall is located in Latchford, a residential area of Warrington with easy access to the local shops and general amenities. The home is well maintained with good quality furnishings and fittings. It is set within its own grounds and there is an internal garden, which has been divided to provide a safe enclosed area for people with dementia. Residents speak highly of the home and state satisfaction with facilities and services provided. The home is clean and hygienic. The home is decorated according to rolling programme; copy of the schedule is posted on the manager’s wall. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Staff are trained, skilled and employed in sufficient numbers to meet the changing needs of residents. EVIDENCE: There is an efficient and effective staff team who are praised by residents and visitors for their skill, care and dedication to duty. Observation and discussion with staff and residents and reading of staff rotas indicates that staff are employed in sufficient numbers to meet the needs of residents. Staff are employed flexibly with particular attention given to busy times of the day and changing needs of the residents. When there are significant changes in circumstances staffing levels are raised to ensure that residents’ needs are met. Management encourage staff members to undertake nationally recognised qualifications beyond the basic requirements, and recognise the benefits of a skilled, trained workforce. Information provided indicates that 6 of the 26 care staff employed have an NVQ level 2 in care or above. In addition six staff members are working toward NVQ level 2 in care and a further four are working toward level 3. There are a sufficient number of staff either with or working toward an NVQ in care at level two or above to meet and exceed the 50 target. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 19 Reading of staff files and discussion with the manager confirmed that CLS operate effective recruitment procedures. There is a comprehensive staff-training programme that has been developed to incorporate “Skills For Care” staff training standards. Staff training records confirm that the manager has focused on addressing staff training needs that present the highest priority first. The vast majority of staff have completed training in moving and handling, fire awareness and a significant number have had first aid and food hygiene training. The manager advised that she is aware that some staff require training in adult protection procedures, infection control and the care of people with dementia. All staff benefit from an annual appraisal and all have personal development plans designed to address their training needs. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The management and administration of the home is based on openness and respect. The manager is skilled and person centred in her approach. Effective quality assurance systems are in place. EVIDENCE: The manager is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. Senior care staff and care staff speak highly of her leadership abilities and appreciate her support and guidance. Staff advise that the manager is very person centred the wellbeing of the residents, their rights and their protection come first. Effective quality assurance monitoring is in place based on seeking the views of residents and other interested parties. Resident and relatives surveys have Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 21 been completed and reports on quality issues have been drafted and made available to residents, relatives and the CSCI. A questionnaire to asks visiting health and social care professionals about quality of care in the home has been developed and will be used on the next quality survey which is due before the end of the year. The manager ensures that residents are able to control their own money, except where they state that they do not wish to or they lack capacity and other arrangements are made. Residents may deposit small amounts of money with the home for safekeeping. The home services manager maintains appropriate records and receipts. The company seeks to ensure the health and safety of all employees and residents. Risk assessment and risk management is central to the conduct of the home. The manager ensures that risk assessments are carried out for all safe working practice topics and significant findings are recorded and reviewed. Information provided indicates that fire precautions are in place and routine maintenance checks of gas and electrical systems, hoist, electrical appliances, lift, fire alarms, extinguishers and emergency lighting systems are undertaken and are up to date. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 and 17 Requirement The registered persons must ensure that appropriate arrangements are made for the administration and record of medicines in the home. (Previous timescale 11/10/05 not met) Timescale for action 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The registered persons should ensure that care plans address all needs presented by the resident and confirm subsequent arrangements for care in sufficient detail to ensure that all staff know what to do. The registered persons should develop a system so senior care staff know which resident has missed or refused a bath so arrangements can be made to offer them another within a reasonable timescale and in accordance with their needs. 2 OP8 Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 24 3 OP18 The registered persons should ensure that all staff benefit from training on the protection of vulnerable adults. Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Westy Hall DS0000027014.V299358.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!